ten-day period, the department shall impose the termination
of medical assistance, the assistance allowance reduction
and, if applicable, protective payments. Any hearing or
appeal with respect to the notice of noncooperation issued by
the department shall be conducted in accordance with the
department's regulations governing an applicant's or a
[recipient's] recipient natural or adoptive parent's right to
hearings.
(3) Subject to Federal approval, only when necessary, if
after notice and opportunity for hearing the court or
domestic relations section determines that the applicant or
recipient natural or adoptive parent failed to cooperate as
set forth in section 4379 and lacked reasonable excuse for
such failure, the court shall notify the applicant or
recipient natural or adoptive parent and the department of
the basis of the noncooperation determination and order the
department to impose a sanction for noncooperation. The
department shall issue a notice to the applicant or recipient
natural or adoptive parent to terminate medical assistance
eligibility, reduce the assistance allowance by not less than
25% and, if applicable, impose a protective payment for any
child so affected. The department shall implement the order
of the court within ten days of receipt. Any hearing or
appeals with respect to the recommendation and order of
noncooperation directed by the court shall be conducted by
the court in accordance with the Pennsylvania Rules of Civil
Procedure as may be promulgated by the Supreme Court
governing actions for support. The decision to hold hearings
for noncooperation cases shall be at the option of the court
or domestic relations section. If the court or domestic
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